DREF Final Report Guatemala: Dengue

Transcription

1 DREF Final Report Guatemala: Dengue DREF operation n MDRGT September 2014 The International Federation of Red Cross and Red Crescent (IFRC) Disaster Relief Emergency Fund (DREF) is a source of un-earmarked money created by the Federation in 1985 to ensure that immediate financial support is available for Red Cross Red Crescent response to emergencies. The DREF is a vital part of the International Federation s disaster response system and increases the ability of National Societies to respond to disasters. Summary: 129,671 Swiss francs were allocated from the IFRC s Disaster Relief Emergency Fund (DREF) to support the National Society in delivering immediate assistance to some 9,500 beneficiaries. During the DREF dengue operation, the National Society was able to surpass its original target, and reached 2,026 families and 22 schools. They were distributed in 12 communities and six municipalities in the departments of Mazatenango, Retalhuleu and, and received support with information and with the preparation of municipal and community contingency plans and with community epidemiological surveillance. These people now have relevant information regarding dengue fever, in addition to basic measures to prevent the spread of the Aedes aegypti mosquito and capacity to conduct community surveillance. The IFRC, on behalf of the National Society, would like to extend thanks to the generous contributions of the Canadian Red Cross Society and government for the allocation made to this Guatemalan Red Cross (GRC) volunteers holding educational sessions using a Jeopardy game. Source: GRC. operation to replenish the DREF. The major donors and partners of DREF include the Australian, American and Belgian governments, the Austrian Red Cross, the Canadian Red Cross and government, the Danish Red Cross and government, the European Commission Humanitarian Aid and Civil Protection (ECHO), the Irish and the Italian governments, the Japanese Red Cross Society, the Luxembourg government, the Monaco Red Cross and government, the Netherlands Red Cross and government, the Norwegian Red Cross and government, the Spanish government, the Swedish Red Cross and government, the United Kingdom Department for International Development (DFID), the Medtronic and Z Zurich foundations, and other corporate and private donors. Details of all donors can be found on: <click here for the final financial report, or here to view contact details> Please note that the final financial report will be attached once the remaining funds are transferred from the National Society.

2 2 The situation Dengue cases increased significantly in Central America, exceeding historic ranges of the past five years in countries such as Honduras, Costa Rica and Nicaragua. In Guatemala, dengue has been one of the diseases that has put at risk the health and lives of the population year after year, specifically the most vulnerable. Living conditions, such as lack of access to health services, poverty and malnutrition, increase the people's vulnerability, who, on the other hand, are made even more vulnerable when in need to dedicate their scarce resources in health care. In July and August 2013, the number of cases detected showed an upward trend, managing to exceed safety ranges of the endemic corridor and fluctuating between alert and epidemic outbreak status. Guatemala has four types of serotypes distributed nationwide. The health areas where all four serotypes were detected were Escuintla, central Guatemala and San Marcos; 3 serotypes - DEN1, DEN2 and DEN3 - were detected in Alta Verapaz, northwestern Guatemala, Jalapa, Jutiapa, Quiche and Suchitepéquez; while DEN4 was detected in Ixcan, Retalhuleu and northwestern Guatemala. An epidemiological relationship was detected between the presence of the DEN4 virus and the incidence of cases of dengue hemorrhagic fever. Endemic corridor - Week 47 dengue Guatemala Source: Ministry of Health and Social Welfare To epidemiological week 47 (from 17 to 23 November), 11,397 clinical cases of classic dengue had been reported - 1,977 were confirmed cases, 31 were cases of dengue hemorrhagic fever; 8 deaths were reported. The most affected health areas were: Zacapa, Jutlapa, Escuintla, Izabal, Guatemala Sur, Quetzaltenango, Retalhuleu, Santa Rosa, southwest Petén and Chiquimula. As can be seen, by the end of the operation's implementation period the endemic curve has decreased significantly, falling to within safety levels. In this context, community interventions were carried out by the Guatemalan Red Cross mostly in conjunction with Ministry of Health authorities and in coordination with local governments. The National

3 3 Society conducted home visits to deliver flyers to families, which contained information regarding basic measures to prevent the spread of the dengue-transmitting mosquito. Red Cross and Red Crescent action The primary purpose of the DREF-funded dengue project was to raise awareness in 12 selected communities regarding the importance of eliminating breeding grounds as the main method for reducing the incidence of the mosquito-borne virus. 2,026 families were reached directly through home visits, in addition to working with 22 schools, and reaching the population through the media. Six municipal contingency plans and 12 community contingency plans were drawn up as part of the DREFbacked containment strategy. In order to carry out their community-based strategy, the National Society s Guatemalan Red Cross volunteers conducting community visits. Source: GRC permanent and volunteer staff, needed to be trained not only on the disease's characteristics and transmission, but also on debunking myths present in the country. Output achievement Target (%) Achieved (%) The six municipalities and 12 communities selected for the project were: Department Municipality Community Mazatenango Santo Thomas la Unión San Lorenzo Paballal San Juan Maza La Soledad San Vicente Pacaya San Rafael Pacaya El Socorro

4 4 Retalhuleu San Andres Villa Seca San Felipe Nuevo San Carlos El Pomal Aldea Las Palmas Comunidad Agraria La Esmeralda Canton San Jose Colonia Fegua Canton Cabañas Among the major challenges that the National Society had to face was the need to support local authorities with municipal contingency plans to help them deal with the emergency. The assistance provided by volunteers from other branches, especially the Health Coordinator Network of the Guatemalan Red Cross (19 volunteers), was key to providing technical support to the operation. Furthermore, the last months of the operation coincided with the end of the school term, so coordination with teachers had to be very close. The communications campaign was fundamental for raising the population's awareness to support prevention. National headquarters technicians were deployed to facilitate the operational process, and focal points were established in branches in three departments to facilitate their deployment. For this operation the Guatemalan Red Cross received support from a health RIT member from IFRC and from a general RIT member who was doing an internship in Central America. The disaster management coordinator for Central America provided technical support and guidance to the operation. Achievements against outcomes Health in emergencies Outcome: The risk of dengue fever has been reduced for 9,500 people through information and awareness-raising campaigns on prevention measures and early detection of complication signs in four municipalities from the departments of Retalhuleu, Suchitepéquez, Quetzaltenango and other areas prone to dengue fever. Outputs Output 1: Promote community organization for dengue prevention activities through Municipal and Local Risk Reduction Committees in four municipalities in the departments of Quetzaltenango, Retalhuleu and Suchitepéquez. Output 2: 1,900 families are reached with information about prevention and early detection of signs of complications from dengue in four municipalities in the departments of Retalhuleu, Quetzaltenango and Suchitepéquez. Output 3: Fifteen primary and secondary schools are reached with information about prevention and early detection of signs of complications from dengue in communities in the departments of Quetzaltenango, Retalhuleu and Suchitepéquez. Output 4: Mass media campaigns reach 9,500 people directly and 335,735 people indirectly with dengue prevention information. % of achievement 1 150% 107% 146% 107% 1 This field represents the percentage of the output that has been reached, according to the figures it specifies.

5 5 Output 5: 1,900 families are reached with active surveillance of cases in four municipalities in the departments of Quetzaltenango, Retalhuleu and Suchitepéquez in support of health services. Output 6: The effectiveness of the dengue operations in Central America is evaluated and recommendations gathered. 100% 100% Activities Is implementation on time? % progress 2 Yes No Hold at least three coordination and monitoring meetings in four municipalities and their selected communities. X 100% Preparation of four municipal action plans. X 100% Selection of beneficiaries. X 100% Conduct three workshops about dengue and its control for 75 community leaders, teachers, students and other institutions to facilitate promotion and dengue prevention. X 100% 1,900 home visits for awareness on dengue prevention and epidemiological surveillance twice a month. X 100% Develop one course on Epidemics Control for 24 Guatemalan Red Cross volunteers. X 100% Coordination with local authorities. X 100% Conduct two lectures in 15 schools on dengue prevention for 1,000 students and teachers. X 100% Printing of information materials. X 100% Development and airing of radio spots. X 100% Dissemination of dengue fever prevention messages over the radio, the press and via loudspeakers on vehicles in public places. X 100% Distribution of information materials to Red Cross branches whose municipalities have the greatest incidence of cases X 100% Deployment of a communication RIT to support the communications plan development at National and Regional level. X 100% Development of media materials on National Society actions and its impact on beneficiaries at national and regional level X 100% Coordination with governmental authorities to develop a community-based surveillance strategy. X 100% Monitoring visits for early detection of cases at community level X 100% Development of weekly epidemiologic surveillance reports X 100% Conduct four epidemiological surveillance municipal workshops for community leaders X 100% Coordination with National Societies in Central America that are responding to dengue outbreaks. X 100% Coordination with Partner National Societies with projects in the affected areas X 100% Hiring of an external consultant to evaluate the dengue operation at the regional level X 100% Field visits are completed in at least three countries X 100% Sharing of results and recommendations with key stakeholders X 100% 2 This field represents the percentage of completion of a given activity, according to the timeframe planned.

6 6 Output 1: Community organizing for dengue prevention actions Six meetings were held with various health centers to socialize the project prior to its implementation. Furthermore, four meetings were held with other actors involved to socialize project activities, determining specific intervention programming in each. In addition, two workshops for the municipalities and municipal meetings were held to draw up contingency plans. Given the very positive outcome of the coordination, it was possible to expand the original scope and work on plans with all six municipalities, and not just four. By the end of the operation, six municipal contingency plans and 12 community contingency plans have been designed, surpassing the original target of reaching. As the achievement of this objective is deeply integrated with the other lines of the strategies; further information is provided in the following sections. Output 2: Information about prevention and early detection of complications from dengue Facilitators workshop: Sixty-nine community leaders attended the Community Facilitator workshop on dengue prevention. Twelve targeted communities participated, receiving training in: General characteristics of dengue. Community participation guide for dengue prevention and control. Toolkit use to control epidemics A workshop was held for communities in each department where the project was implemented, for a total of three workshops to community leaders: one in Mazatenango, one in Retalhuleu and one in. Activated NITs participated in these workshops, working in logistics and as facilitators and assistants, in addition to RITs who came to Guatemala to work as workshop facilitators. Surveillance workshop: Sixty-four community leaders attended the Community-based Epidemiological Surveillance Workshop, with participation from all 12 communities. Participants trained in topics such as: Community-based Epidemiological Surveillance. How to set up and manage a health situation room Public health surveillance These workshops were held in each department with collaboration from National Intervention Teams (NITs) and deployed RITs. Participants included health center staff who collaborated by teaching dengue-related topics and socialized the work in vector areas, thus reinforcing knowledge regarding the vector's cycle. This training was key to complete the community-based surveillance of output 5. Municipal workshops: Two workshops were held to update/draw up dengue-focused municipal contingency plans. Twenty-five people participated, including representatives from six targeted communities, health center staff, vector area staff, Ministry of Education staff, Red Cross personnel, as well as from various media outlets. This was a key element to complete output 1 of the operation. Workshops to community leaders Department Municipalities No of workshops Community facilitators Workshop attendance Epidemiological surveillance Municipal plans M W M W M/W Coatepque Mazatenango Santo Thomas La Unión and San Lorenzo

7 7 Retalhuleu Nuevo San Carlos, San Felipe and San Andres Villa Seca TOTALS Volunteers from the Guatemalan Red Cross branches conducted approximately 14,285 home visits to around 2,026 families in 12 communities. Visits consisted in: Visit 1: Identification and elimination of mosquito breeding grounds Visit 2: Informing the beneficiary about dengue symptoms. Visit 3: Informing the beneficiary about dengue prevention Visit 4: Raising awareness about the importance of keeping a clean and safe yard. Visit 5: Yard inspections Visit 6: Elimination of breeding grounds Based on the prioritization of areas and risks, a seventh visit was made to and Mazatenango, conducting 1,438 more visits in both branches. Visit 7: Yard inspection and elimination of breeding grounds Department Municipality Community Goal Mazatenango Retalhuleu Santo Tomas la Union San Vicente Pacaya Home visits to communities Visit 1 Visit 2 Visit 3 Visit 4 Visit 5 Visit 6 Visit 7 Total ,507 San Rafael Pacaya ,505 El Socorro El Pomal Aldea las Palmas ,501 Comunidad Agraria la Esmeralda Canton Paballal San Juan Maza ,360 San Lorenzo Aldea La Soledad ,802 San Andres Villa Seca Canton San Jose ,698 San Felipe Colonia Fegua ,200 Nuevo San Carlos Canton Cabanas ,383 TOTAL 1,900 TOTAL VISITS CONDUCTED 14,185 To develop operation activities, 24 volunteers from 10 Guatemalan Red Cross branches involved in this operation were trained through an Epidemics Control Workshop. Volunteers trained through the Epidemics Control Workshop Branches N

8 8 1 El Palmar 3 2 Petén 2 3 Retalhuleu 4 4 El Estor 2 5 Mazatenango 3 6 Central Headquarters 1 7 Santo Tomas de Castilla San Marcos 2 10 Quetzaltenango 1 Total 24 These trained volunteers were later activated and collaborated in the implementation of the following project activities: Six training workshops to community leaders Setting up 12 health situation rooms Drawing up 12 contingency plans at the community level Drawing up 6 contingency plans at the municipal level Home visits Systematization of project information Monitoring community surveillance Output 3: Schools are reached with information about prevention and early detection of complications from dengue in communities Trainings were conducted in 22 schools, reaching 8,704 students and 145 teachers in targeted communities. These sessions were facilitated by volunteers. Educational sessions consisted in providing 3 sessions, which are described below: First session: An induction was conducted on what dengue is, its signs and symptoms, and disease prevention measures, reinforcing the information among the student body using the Jeopardy game. Second session: This consisted of walking through the entire school and surrounding areas, identifying and eliminating all breeding sites with help from students and teachers, thus guaranteeing a school free of breeding sites for the following school year Third session: A closing activity was carried out where students received feedback on dengue prevention measures, strengthening learning with contests and recreational activities. Jeopardy is a game adapted to reinforce the school children's knowledge through play. For this dynamic, the volunteer forms two groups of no more than 15 students each, who then compete by correctly answering the greatest number of questions chosen by throwing dice. Workshops in schools Department Municipalities No. of Schools Mazatenango Retalhuleu No. of children 14 2,736 2,535 Santo Tomas La Unión San Lorenzo San Andres Villa Ceca M F

9 9 San Felipe Nuevo San Carlos TOTAL 22 8,704 Output 4: Mass media campaigns Two 30-second spots were developed - one for radio and another for TV - with key messages about dengue prevention. The information campaign over the radio was broadcasted by four radio stations, while cable TV channels aired the spot in the departments of Retalhuleu, Mazatenango and. Informational dengue prevention posters were reproduced and distributed to branches in dengue-endemic areas and to nearby branches as well. All 12 communities were covered through loudspeakers, where volunteers used high-power bullhorns to convey key messages during visits. Department Radio/TV Station Coverage Spot Retalhuleu Radio Católica, La Voz de la Esperanza Department of Suchitepéquez, Retalhuleu, Quetzaltenango, San Marcos and Sololá. At the national and international level, through : ww.radiolavozdelaesperanza.com Time slots: 08:00, 8:30, 10:30, and 13:30 y 17:30. Duration: 30 seconds during October and November Canal 23, Intercable Departmental capital of Suchitepéquez, and coverage in the entire department Time slots: 06:30, 07:15, 08:00. Duration: 30 seconds Mazatenango Emisoras Unidas National Time slots: 10:20, 12:30, 16:20 and during football matches. Duration: 30 seconds Dinamita Municipality of. 12 spots per day: 6 during the morning and 6 during the afternoon. Duration: 30 seconds Canal 30, cable-visión Municipality of. 12 spots per day: 6 during the morning and 6 during the afternoon. Duration: 30 seconds Despertar Occidental Department of Quetzaltenango. 6 spots per day: 3 during the morning and 3 during the afternoon An IFRC communications officer was deployed to Guatemala to support the National Society's communication strategy, while a communications RIT from Trinidad and Tobago was deployed to Costa Rica, Honduras, and Nicaragua to support communications actions on dengue. These missions included

10 10 interviews with beneficiaries, local actors and National Society members, which were conducted within activities planned by DREF operations and disseminated through the IFRC's and National Societies' portals. Costa Rica: Nicaragua: Honduras: Guatemala: An institutional video has been prepared by the IFRC's Communications Department in the Americas, which will be released soon as part of a dengue prevention communications campaign. Furthermore, in April 2014 the IFRC released a report on raising awareness about dengue called "Giving Voice to a Silent Disaster", in order to give a voice to this silent disaster and to advocate a change in approach, from one that responds to isolated outbreaks to making investments in integrated programmes and long-term actions that include community initiatives resulting in sustainable behavioral changes. This report was released internationally and included information about the region. Giving Voice to a Silent Disaster report: Dengue%20Advocacy%20Report-EN-LR.pdf Press releases: Video: Output 5: Active case surveillance Twelve community epidemiological surveillance workshops were held for to set up community situation rooms. Community leaders from six municipalities in the departments of, Mazatenango and Retalhuleu were trained. As a result, 12 community situation rooms were set up in three departments: six in, one in San Lorenzo, two in Santo Tomas la Union, one in Nuevo San Carlos, one in San Andrés Villa Seca and one in San Felipe. These activities were carried out jointly with the presidents of local community development committees and in coordination with health authorities. Surveillance began once the situation rooms were ready. To conduct surveillance actions, a reference and cross-reference file was created. Volunteers were trained on its use and was applied during all visits. These actions helped identify 44 suspected cases, of which 15 were confirmed. Community surveillance found during the operation Department Municipality Community Suspected cases Confirmed cases San Vicente Pacaya 24 1 San Rafael Pacaya 0 3

11 11 Mazatenango Retalhuleu El Socorro 0 1 Aldea las Palmas 9 0 Santo Tomas la Canton Paballal 0 1 Union San Juan Maza 2 1 San Lorenzo Aldea La Soledad 2 0 San Felipe Colonia Fegua 2 3 Nuevo San Canton Cabanas 5 Carlos 5 TOTAL Source: Community situation rooms and recording of cases by the Ministry of Public Health and Social Welfare's Vector Department Evaluation of DREF Operations in Central America An external regional evaluation was conducted between February and March 2014 regarding the dengue response operations in Colombia, Costa Rica, Honduras, Guatemala and Nicaragua in This activity was budgeted within DREF, however, it was decided to conduct it once all operations were closed and it was finally financed by the Canadian Red Cross Society and by IFRC evaluation funds and not this DREF operation. The evaluation included a number of variables to determine the operation's impact. Below are the overall achievements and challenges of the operations. Country Main achievements Main challenges Dengue-related trainings were adequate at all levels of implementation. These were aimed at achieving the expected results, and the terms used were easily understood by the participants. The replication mechanisms between volunteers, leaders, health personnel and other agents were effective for reaching the entire target population Common to all countries Interventions have had technical and volunteer teams trained and adapted to project needs. The project's level of involvement and commitment has been the key element in the population's recognition of the work conducted by the Red Cross. From what has been described above, we can extract the following challenges shared by all countries: The need to establish a contingency plan for epidemics that defines the objectives, actions and internal aspects to keep in mind to deal with the disaster. Establishing a permanent epidemiological surveillance system through the existing EOCs that makes it possible to monitor the evolution of epidemics and anticipate possible emergencies. Providing continuity to processes to train volunteers and strengthen chapters that enable them to update their knowledge and apply community surveillance models DREFs have enhanced the chapters' capacities, positioning them as agents of reference with local authorities and communities Establishing cooperation and mutual support agreements between governments, local authorities and National Societies and their chapters, seeking to strengthen the partnerships developed during this DREF. Designing community work strategies that promote community empowerment in order to build the communities' capacity so as to strengthen them as dengue-prevention agents. Establishing a health programme in countries

12 12 that lack one, that allows preventing epidemics regardless of an outbreak. That both National Societies and chapters take advantage of the opportunities generated by the project in terms of designing interventions on the topic which can be submitted to potential funding entities (PNS and others). The strengths generated are large enough to be exploited. The positioning achieved as an agent of reference has generated high expectations within communities, which constitutes a challenge for chapters in considering expanding their response capacity. Its own achievements and challenges are presented under each operation. Below are the main achievements and challenges identified in Guatemala's DREF operation: Country Main achievements Main challenges Promoting innovative intervention Taking advantage of participatory strategies to raise awareness by work implemented in communities to adapting dynamic activities and recruit new volunteers for the National games used in other campaigns Society. The potential or opportunities (the Jeopardy game). These tools that the project has generated to have been extremely useful for encourage volunteerism within reinforcing messages transmitted communities has not been considered. to the population and to evaluate The figure of the community volunteer the impact of the interventions. should be considered in each and every action promoted. Guatemala Transferring skills and knowledge to communities for active epidemiological surveillance is considered a relevant action for the sustainability of the actions, as well as for promoting the population's ownership of its joint responsibility in community health. Volunteer brigades who participated in home visits implemented a gender-inclusive strategy, fostering joint responsibility in addressing the problems with the aim of achieving a real and broad engagement by men and women to avoid the spread of the disease. Seeking alliances with institutes or schools who provided support through young volunteers, in order to promote other types of alliances that allow chapters to attract new volunteers, such as for developing first aid courses, etc. Making administrative procedures more flexible in emergency situations in order to respond more efficiently to a DREFs' own timing.

13 13 Contact information For further information specifically related to this operation please contact: Guatemalan Red Cross: Daniel Javiel, director general, telephone: , IFRC regional representation: Marissa Soberanis, country coordinator for Guatemala and El Salvador, telephone: , IFRC zone office: Benoit Porte, disaster response and crisis and early recovery coordinator; telephone: , In Geneva: Cristina Estrada, quality assurance senior officer, telephone: , For Performance and Accountability (planning, monitoring, evaluation and reporting enquiries) In IFRC zone office: Priscila Gonzalez, planning and monitoring senior officer, phone: ; Click here 1. Final financial report below 2. Click here to return to the title page How we work All IFRC assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGOs) in Disaster Relief and the Humanitarian Charter and Minimum Standards in Disaster Response in delivering assistance to the most vulnerable. The IFRC s vision is to inspire, encourage, facilitate and promote at all times all forms of humanitarian activities by National Societies, with a view to preventing and alleviating human suffering, and thereby contributing to the maintenance and promotion of human dignity and peace in the world. The IFRC s work is guided by Strategy 2020 which puts forward three strategic aims: 1. Save lives, protect livelihoods, and strengthen recovery from disaster and crises. 2. Enable healthy and safe living. 3. Promote social inclusion and a culture of non-violence and peace.

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15 Page 1 of 3 Disaster Response Financial Report MDRGT005 - Guatemala - Dengue Timeframe: 20 Aug 13 to 20 Nov 13 Appeal Launch Date: 20 Aug 13 Final Report Selected Parameters Reporting Timeframe 2013/8-2014/8 Programme MDRGT005 Budget Timeframe 2013/8-11 Budget APPROVED Split by funding source Y Project * Subsector: * All figures are in Swiss Francs (CHF) I. Funding Raise humanitarian standards Grow RC/RC services for vulnerable people Strengthen RC/ RC contribution to development Heighten influence and support for RC/RC work Joint working and accountability A. Budget 129, ,671 TOTAL Deferred Income B. Opening Balance Income Other Income DREF Allocations 129, ,671 C4. Other Income 129, ,671 C. Total Income = SUM(C1..C4) 129, ,671 D. Total Funding = B +C 129, ,671 * Funding source data based on information provided by the donor II. Movement of Funds B. Opening Balance Raise humanitarian standards Grow RC/RC services for vulnerable people Strengthen RC/ RC contribution to development Heighten influence and support for RC/RC work Joint working and accountability C. Income 129, ,671 E. Expenditure -105, ,583 F. Closing Balance = (B + C + E) 24,088 24,088 TOTAL Deferred Income Final Report Prepared on 19/Sep/2014 International Federation of Red Cross and Red Crescent Societies

16 Page 2 of 3 Disaster Response Financial Report MDRGT005 - Guatemala - Dengue Timeframe: 20 Aug 13 to 20 Nov 13 Appeal Launch Date: 20 Aug 13 Final Report III. Expenditure Account Groups Budget Raise humanitarian standards Grow RC/RC services for vulnerable people Strengthen RC/ RC contribution to development Expenditure Heighten influence and support for RC/ RC work Joint working and accountability TOTAL Variance A B A - B BUDGET (C) 129, ,671 Relief items, Construction, Supplies Teaching Materials 57,037 47,718 47,718 9,319 Total Relief items, Construction, Supp 57,037 47,718 47,718 9,319 Logistics, Transport & Storage Transport & Vehicles Costs 4,147 5,602 5,602-1,455 Total Logistics, Transport & Storage 4,147 5,602 5,602-1,455 Personnel International Staff 6,912 5,482 5,482 1,430 National Society Staff 6,912 8,285 8,285-1,373 Volunteers 1,397 7,306 7,306-5,908 Other Staff Benefits 1,659 1,908 1, Total Personnel 16,880 22,980 22,980-6,101 Consultants & Professional Fees Consultants 23,722 2,792 2,792 20,929 Total Consultants & Professional Fees 23,722 2,792 2,792 20,929 Workshops & Training Workshops & Training 4,608 4,215 4, Total Workshops & Training 4,608 4,215 4, General Expenditure Travel 8,681 8,503 8, Information & Public Relations 2,968 1,808 1,808 1,159 Office Costs 968 2,080 2,080-1,112 Communications 2,239 2,502 2, Financial Charges Total General Expenditure 15,363 15,832 15, Indirect Costs Selected Parameters Reporting Timeframe 2013/8-2014/8 Programme MDRGT005 Budget Timeframe 2013/8-11 Budget APPROVED Split by funding source Y Project * Subsector: * All figures are in Swiss Francs (CHF) Programme & Services Support Recover 7,914 6,444 6,444 1,470 Total Indirect Costs 7,914 6,444 6,444 1,470 TOTAL EXPENDITURE (D) 129, , ,583 24,088 VARIANCE (C - D) 24,088 24,088 Final Report Prepared on 19/Sep/2014 International Federation of Red Cross and Red Crescent Societies

17 Page 3 of 3 Disaster Response Financial Report MDRGT005 - Guatemala - Dengue Timeframe: 20 Aug 13 to 20 Nov 13 Appeal Launch Date: 20 Aug 13 Final Report IV. Breakdown by subsector Selected Parameters Reporting Timeframe 2013/8-2014/8 Programme MDRGT005 Budget Timeframe 2013/8-11 Budget APPROVED Split by funding source Y Project * Subsector: * All figures are in Swiss Francs (CHF) Business Line / Sub-sector BL2 - Grow RC/RC services for vulnerable people Budget Opening Balance Income Funding Expenditure Closing Balance Disaster response 129, , , ,583 24,088 Subtotal BL2 129, , , ,583 24,088 GRAND TOTAL 129, , , ,583 24,088 Deferred Income Final Report Prepared on 19/Sep/2014 International Federation of Red Cross and Red Crescent Societies